Premier Medical Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6216479758 Issued in TN

Legal business name

PREMIER MEDICAL INC

Practice address

350 S Lowe Ave
Suite a
Cookeville, TN 38501-4727

Phone

(931) 526-1050

Fax

(931) 526-8163

NPI assigned

Jul 13, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Leigh Ann Ray, FNP

Title

Office Manager

Phone

(931) 526-1050

Specialties & licenses 5

Addresses

Other names 1

• Convenient Care Clinic Other name

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7977/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Samuel, MD

  • Internal Medicine Physician
  • Cookeville, TN
  • NPI 1376548628
  NPD
• James M Vance, PA

  • Medical Physician Assistant
  • Cookeville, TN
  • NPI 1144317801
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740489400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S LOWE AVE",
            "address_2": "SUITE A",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014727",
            "telephone_number": "931-526-1050",
            "fax_number": "931-526-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S LOWE AVE",
            "address_2": "SUITE A",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014727",
            "telephone_number": "931-526-1050",
            "fax_number": "931-526-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-526-1050",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6216479758",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convenient Care Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monica Pauline Powers, FNP
• Paige Powers
• Rickman Powers
• Precision Cardiac Anesthesia, PLLC
• Premier Diagnostic Imaging, LLC
• Premier Pharmacy LLC
• Premiercare Tennessee Inc (Ten Broeck Tennessee)
• Premise Health of Tennessee Medical PC (Cummins Health Center Cookville)
• Zulma Adriana Presley
• Jana Price, M.ED.,SLP.CCC

• Family Nurse Practitioner in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.